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Long COVID in Children: Observations From a Designated Pediatric Clinic

Liat Ashkenazi-Hoffnung1,2, Einat Shmueli1,2, Shay Ehrlich1,2

  • 1From the Day Care Hospitalization, Pulmonary Institute and Heart Institute, Schneider Children's Medical Center of Israel.

The Pediatric Infectious Disease Journal
|August 9, 2021
PubMed

Insights

Pediatric long COVID often causes functional impairment in children, with nearly 60% experiencing symptoms 1-7 months post-infection. Many show mild respiratory abnormalities, highlighting the need for further research into long COVID in children.

Area of Science:

  • Pediatric Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Systematic data on pediatric long COVID are limited.
  • Persistent symptoms post-COVID-19 infection in children require thorough investigation.
  • Multidisciplinary clinics are emerging to manage complex pediatric conditions.

Purpose of the Study:

  • To prospectively assess children with persistent symptoms following COVID-19 infection.
  • To characterize the functional impairment and clinical findings in pediatric long COVID.
  • To evaluate the utility of multidisciplinary clinics in managing pediatric long COVID.

Main Methods:

  • Prospective assessment of 90 children with persistent symptoms.
  • Evaluation at a designated multidisciplinary long COVID clinic.
  • Comprehensive structured clinical and functional assessment.

Main Results:

  • Nearly 60% of children experienced functional impairment 1-7 months after infection onset.
  • Mild abnormal findings were observed in approximately half of the patients.
  • Respiratory system abnormalities were the most frequent finding.

Conclusions:

  • Pediatric long COVID can lead to significant functional impairment.
  • A substantial proportion of children exhibit persistent symptoms and mild abnormalities.
  • Early and comprehensive assessment in specialized clinics is crucial for managing pediatric long COVID.

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